Exam 1 power points

Question 1

Assessment

Answer 1

1) Establish rapport
2) Understand the current or chief problem
3) Review physical status and obtain vital signs
4) Assess for risk factors affecting the patient’s safety (assess for SI/HI)
5) Perform a Mental Status Examination (MSE)
6) Assess psychosocial status
7) Identify mutual goals for treatment

Question 2

When performing a nursing assessment for a new intake on the psychiatric unit, the nurse must assess many areas to determine care in treatment planning. Which of the following assessments are vital upon initial assessment for care? (Select all that apply).
A. The mental status exam
B. Risk factors for SI or HI
C. Financial status and concerns
D. Sexual, cultural and spiritual needs E. Physical status and vital signs

Answer 2

A. The mental status exam
B. Risk factors for SI or HI
E. Physical status and vital signs

Question 3

Diagnosis

• NANDA Nursing Diagnosis
• Clinical judgment about a patient’s response, needs, actual & potential psychiatric disorders, mental health problems, and potential physical illnesses lead to diagnosis
• 3-structural components:

Answer 3

1. Problem (unmet need)
2. Etiology (probable cause)
3. Supporting data (signs & symptoms)

Question 4

Implementation

Answer 4

• Coordination of care
• Milieu therapy
• Health teaching & promotion
• Therapy & Pharmacological

Question 5

Documentation is a legal aspect, it includes

Answer 5

1) Client’s Condition
2) Informed Consents (medication & treatments)
3) Reaction to Medications
4) Document Symptoms
5) Concerns of client or incidents
6) Patient Progress

Question 6

Which of these techniques are utilized for clarification in therapeutic communication? (Select all that apply)
A. Restating
B. Interpreting 
C. Reflection
D. Paraphrasing 
E. Exploration

Answer 6

A. Restating
C. Reflection
D. Paraphrasing
E. Exploration

Question 7

Nurse-client relationship – to establish repoire with client to understand nurse role as being

Answer 7

1) Safe
2) Reliable
3) Consistent
4) Confidential
5) Appropriate, clear boundaries are identified

Question 8

Establishing a Therapeutic Relationship

Answer 8

1) Genuineness
o self awareness of one’s own feelings
2) Empathy
o entering another’s world, being sensitive, without
making judgments
3) Positive Regard
o respect - displayed by attitude’s and actions

Question 9

Therapeutic Skills

1) Facilitating
2) Assisting
3) Helping
4) Promoting

Answer 9

1) Facilitating communication of distressing thoughts and feelings
2) Assisting client’s with problem solving to help facilitate
activities of daily living (ADL’s)
3) Helping client’s examine self-defeating behaviors and test alternatives
4) Promoting self-care and independence

Question 10

Classification system of mental disorders found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
- Former Classification may still be seen in hospital charts in Axis I – V format:
Axis-I -
Axis-II -
Axis-III -
Axis-IV -
Axis V -

Answer 10

Axis-I - Psychiatric Disorder
Axis-II - Personality Disorders/IDD
Axis-III - Medical Conditions
Axis-IV – Psychosocial/Environmental Issues
Axis-V – Global Assessment of Functioning

Question 11

1996 first law enacted which required insurers to provide for mental health and substance abuse that was not being provided and subsequent laws reinforced in 2002

Answer 11

Mental Health Parity

Question 12

organization dedicated to education and advocacy for those with mental illness

Answer 12

NAMI